Patterns of homicide in North Tunisia: a 10-year study (2005–2014)

BackgroundIn Tunisia and in the Arab world, few data are available about homicide patterns. The aim of our study was to analyse the victims' profiles and the general pattern.Methods636 homicide victims were autopsied at the Legal Medicine Department of Charles Nicolle Hospital in Tunis, over a period of 10 years (2005–2014).ResultsVictims were males in 79.7% with a male-to-female ratio of 3.93 and the average age was 37.7 years. The victim was generally from an urban area (66.7%), single (55.7%) and semiskilled (50.2%). The most common methods of homicide were sharp force (51.7%) and blunt trauma (24.8%).ConclusionsThis study suggests applying urgent preventive measures targeting essentially young males and the importance of a national ‘Violence Repository’.

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Child homicide in northern Tunisia: a retrospective study of forensic autopsy cases

Egyptian Journal of Forensic Sciences ◽

10.1186/s41935-021-00247-1 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Meriem Grayaa ◽

Ikram Kort ◽

Yomn Naceur ◽

Meriem Gharbaoui ◽

Rihem Kouada ◽

...

Keyword(s):

Retrospective Study ◽

Family Member ◽

Blunt Trauma ◽

Preventive Measures ◽

Child Homicide ◽

Female Ratio ◽

Northern Tunisia ◽

Sharp Force ◽

The Mean ◽

Male To Female

Abstract Background As far as we know, no previous research has investigated child homicide in Tunisia. In this context, our study was carried out to analyze the epidemiological and medico-legal characteristics of child homicide occurring in northern Tunisia over a 17-year period. Results Eighty-seven cases were collected, with a male-to-female ratio of 2.4. The mean age of the victims was 12.6 years for both sexes. We found that 56.3% of the cases were aged between 15 and 18 years. The majority of deaths under 15 years of age occurred at home as a result of intrafamilial homicide. Victims aged more than 15 years were more likely to be assaulted outside the home by a non-family member. The most frequent method of homicide was sharp force (39%) affecting mostly the heart and the lung, followed by blunt trauma (25%), which affected mainly the head. Sexual assault was diagnosed at autopsy in six victims (6.9%). Conclusions The study offers available data concerning the patterns of child homicide in northern Tunisia and may help to implement preventive measures against this kind of crime.

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Epidemiology of omphalocele: data analysis of regional congenital malformation registers in the Russian Federation

Voprosy ginekologii akušerstva i perinatologii ◽

10.20953/1726-1678-2021-4-78-83 ◽

2021 ◽

Vol 20 (4) ◽

pp. 78-83

Author(s):

N.S. Demikova ◽

◽

M.A. Podolnaya ◽

A.N. Putintsev ◽

A.S. Lapina ◽

...

Keyword(s):

Congenital Malformation ◽

Russian Federation ◽

Preventive Measures ◽

Male Gender ◽

Abdominal Wall Defects ◽

Female Ratio ◽

Positive Time ◽

The Russian Federation ◽

First Time ◽

Male To Female

Omphalocele is a congenital malformation belonging to the group of abdominal wall defects. Objective. To determine the incidence of omphalocele and analyze its dynamics for the period 2011–2018 in the regions of the Russian Federation according to monitoring data of congenital anomalies. Materials and methods. Statistical analysis of omphalocele cases among newborns and fetuses with malformations for the period 2011–2018 in 22 regions of the Russian Federation was carried out. The incidence of malformations was calculated per 10,000 births. Results. A total of 1,073 cases of omphalocele were reported from 2011 to 2018, of which 69.34% were in fetuses eliminated due to the prenatal detection of malformation, 27.03% – in liveborn fetuses, and 3.63% – in stillborn fetuses. The male to female ratio was 1.56:1. The overall incidence of omphalocele was 2.95 (95% CI 2.77– 3.13) and the incidence among newborns excluding fetuses was 0.9 per 10,000 (95% CI 0.81– 1.01). There was a statistically significant positive time trend in the dynamics of the overall incidence of omphalocele between 2011 and 2018. Conclusion. The evaluation of the incidence of severe malformation – omphalocele – was obtained in different regions of the Russian Federation for the first time. The incidence of this malformation tended to increase over the study period. Male gender and maternal age over 35 years can be considered as risk factors. These results can be used in planning preventive measures. Key words: congenital malformation, monitoring, newborns, omphalocele, fetuses, incidence, epidemiology

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Pediatric Neuromuscular Disorders in Ile-Ife, Nigeria: Pattern and the Challenges with Management

Journal of Pediatric Neurology ◽

10.1055/s-0040-1714094 ◽

2020 ◽

Author(s):

Oluwatosin E. Olorunmoteni ◽

Abiodun J. Kareem ◽

Musa Ayogu

Keyword(s):

Preventive Measures ◽

Neuromuscular Disorders ◽

Late Presentation ◽

Common Type ◽

Duration Of Symptoms ◽

Female Ratio ◽

Male Preponderance ◽

Clinical Records ◽

Male To Female ◽

Wrong Site

AbstractTo describe the presentation pattern and challenges with the management of pediatric neuromuscular disorders (NMDs) in Ile-Ife, Nigeria through retrospective review of their clinical records. We recruited 24 children aged 14 days to 15 years with a male preponderance (male-to-female ratio = 2.4:1). Late presentation was a prominent feature which was highest among children with myopathies with a mean duration of symptoms of 46.5 ± 33.4 months before presentation. Peripheral neuropathy was the most common type of NMDs (63.0%). Among these, injection nerve palsy from the use of wrong site for intramuscular injections was the most common (60.0%). Nonavailability of electrophysiologic and genetic testing as well as appropriate medications was the major challenges. Acquired NMDs are common in our setting. There is a need to improve preventive measures of acquired NMDs and early diagnosis of the inherited types.

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Analysis of battle and non-battle traumatic renal injuries: a 6-year experience in a conflict zone in Afghanistan

10.21203/rs.3.rs-51110/v1 ◽

2020 ◽

Author(s):

Tomasz Zabkowski ◽

Robert Brzozowski

Keyword(s):

Blunt Trauma ◽

Gunshot Wounds ◽

Renal Trauma ◽

Vascular Pedicle ◽

Penetrating Injuries ◽

Female Ratio ◽

Conflict Zone ◽

Common Causes ◽

Male To Female ◽

Collecting System

Abstract Renal trauma occurs in 1-5% of all trauma cases [1]. The kidney is considered the most commonly injured genitourinary organ, with a male to female ratio of 3:1 [2]. Gunshot wounds are the most common causes of penetrating injuries and have the tendency to become more severe and less predictable than blunt trauma. Bullets cause destruction of the parenchyma and are often associated with multiorgan injuries [3]. Penetrating injury contributes to direct disruption of the parenchyma, collecting system, or vascular pedicle tissues.

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Disparities between IgG4-related kidney disease and extrarenal IgG4-related disease in a case–control study based on 450 patients

Scientific Reports ◽

10.1038/s41598-021-89844-7 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Qiaozhu Zeng ◽

Jingyuan Gao ◽

Xinyu Zhang ◽

Aichun Liu ◽

Zhenfan Wang ◽

...

Keyword(s):

Kidney Disease ◽

Clinical Laboratory ◽

Imaging Finding ◽

Age At Onset ◽

Female Ratio ◽

Related Disease ◽

Igg4 Related Disease ◽

Peking University ◽

Chinese Cohort ◽

Male To Female

AbstractWe aimed to compare the demographic, clinical and laboratory characteristics between IgG4-related kidney disease (IgG4-RKD+) and extrarenal IgG4-related disease (IgG4-RKD−) in a large Chinese cohort, as well as describing the radiological and pathological features of IgG4-RKD+. We retrospectively analyzed the medical records of 470 IgG4-related disease (IgG4-RD) patients at Peking University People’s Hospital from January 2004 to January 2020. The demographic, clinical, laboratory, radiological and pathological characteristics between IgG4-RKD+ and IgG4-RKD− were compared. Twenty IgG4-RD patients who had definite etiology of renal impairment including diabetes, hypertension and etc. were excluded. Among the remained 450 IgG4-RD patients, 53 were diagnosed with IgG4-RKD+ . IgG4-RKD+ patients had older age at onset and at diagnosis. Male to female ratio of IgG4-RKD+ patients is significantly higher. In the IgG4-RKD+ group, the most commonly involved organs were salivary gland, lymph nodes and pancreas. It was found that renal function was impaired in approximately 40% of IgG4-RKD+ patients. The most common imaging finding is multiple, often bilateral, hypodense lesions. Male sex, more than three organs involved, and low serum C3 level were risk factors for IgG4-RKD+ in IgG4-RD patients. These findings indicate potential differences in pathogenesis of these two phenotypes.

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P129 The utility of routine operative swab culture in uncomplicated peri-anal abscesses

BJS Open ◽

10.1093/bjsopen/zrab032.128 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

Apoorva Khajuria ◽

Tuba Rahim ◽

Mariam Baig ◽

Kai Leong ◽

Apoorva Khajuria

Keyword(s):

Inflammatory Bowel Disease ◽

Perianal Abscess ◽

Female Ratio ◽

Incision And Drainage ◽

Common Presentation ◽

History Of ◽

Inflammatory Bowel ◽

Operative Findings ◽

The Cost ◽

Male To Female

Abstract Introduction Despite perianal abscess being a common presentation, certain aspects of its management remain controversial, especially the routine use of intra-operative swab cultures. Methods A retrospective review of patients that underwent incision and drainage procedures for a perianal abscess over a six-month period was undertaken. Results Over 6 months, 50 patients were identified. The male to female ratio was 3:1 and median ASA score was 1. Only 6/50 patients presented with recurrent abscess and 1 patient had history of inflammatory bowel disease. On the basis of operative findings, 39 patients (78%) had uncomplicated abscess (not associated with cellulitis, sinus or fistula); swab cultures were performed in 26 (67%) of these patients. All patients were discharged on the same day; microbiology reports did not impact the treatment and no patients were followed up in clinic post-operatively or presented with recurrence. The number of unnecessary microbiology swabs undertaken in this cohort equates to approximately 52 unnecessary swabs a year. The cost of one swab is £10.10p, which means £520 could potentially be saved annually. Conclusion Routine intra-operative swab cultures do not impact management decisions, add to unnecessary costs and therefore should not be undertaken in uncomplicated or first presentation of peri-anal abscesses.

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High rates of gastroesophageal cancers in patients with dyspepsia undergoing upper gastrointestinal endoscopy in Uganda

Endoscopy International Open ◽

10.1055/a-1480-7231 ◽

2021 ◽

Vol 09 (07) ◽

pp. E997-E1000

Author(s):

Ronald Mbiine ◽

Cephas Nakanwagi ◽

Olivia Kituuka

Keyword(s):

Positive Association ◽

Referral Hospital ◽

Outcome Variable ◽

Mulago Hospital ◽

Upper Gastrointestinal Endoscopy ◽

Female Ratio ◽

Mulago National Referral Hospital ◽

Male To Female ◽

Upper Gastrointestinal ◽

National Referral Hospital

Abstract Background and study aims Dyspepsia is the most common presenting symptom in the gastrointestinal clinic of Mulago National Referral hospital. The etiology is essentially not fully described in our patient population. This study was therefore conducted to establish the causes of dyspepsia based on endoscopic diagnosis among patients with dyspepsia seeking care at the National Referral hospital of Uganda. Patients and methods This retrospective study conducted in the endoscopy unit of Mulago hospital reviewed 356 patient endoscopy reports spanning January 2018 to July 2020 with a focus on those with a referral indication of dyspepsia. Age and sex were the independent variables of interest while the endoscopy findings as reported by the endoscopist were the outcome variable of interest. Results Of the 356 endoscopy reports reviewed, 159 met the inclusion criterion of dyspepsia as the indication. Participant mean age was 47.7 years (± 16.53) with the majority (25.79 %) in the fifth decade while the male to female ratio was 1. The majority of patients had organic dyspepsia (90.57 %) while the commonest finding was gastritis 69 (43.4 %). Gastroesophageal cancers represented (18) 11.32 % of all findings. There was a positive association between age > 50 years with gastroesophageal cancers (7.639) as well as age < 50 years and functional dyspepsia (2.794); however, all these were not statistically significant (P = 0.006 and (P = 0.095, respectively). Conclusions Organic/structural dyspepsia comprises over 90 % of investigated dyspepsia with 11 % comprising cancer among patients seeking endoscopy at the National Referral Hospital of Uganda.

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Astrocytomas of the spinal cord in children and adolescents

Journal of Neurosurgery ◽

10.3171/jns.1985.63.5.0669 ◽

1985 ◽

Vol 63 (5) ◽

pp. 669-675 ◽

Cited By ~ 135

Author(s):

Ronald Reimer ◽

Burton M. Onofrio

Keyword(s):

Spinal Cord ◽

Histological Grade ◽

Extended Period ◽

Spinal Deformities ◽

Duration Of Symptoms ◽

Female Ratio ◽

Content Type ◽

Orthopedic Procedure ◽

Male To Female ◽

Fine Print

✓ The authors review 32 cases of spinal cord astrocytoma in patients under 20 years of age who were treated at the Mayo Clinic between 1955 and 1980. There was a 1.3:1 male to female ratio. Twenty patients were between 6 and 15 years of age at the time of diagnosis. The duration of symptoms prior to definitive diagnosis varied from 5 days to 9 years, with an average of 24 months. The most common symptoms were pain (62.5%), gait disturbance (43.7%), numbness (18.8%), and sphincteric dysfunction (18.8%). The most common neurological findings were a Babinski response (50.0%), posterior column sensory dysfunction (40.6%), and paraparesis (37.5%). A median follow-up period of 8.6 years (range 0.8 to 25.5 years) revealed that the survival time diminished with increased histological grade of the astrocytoma (p < 0.001). The development of postlaminectomy spinal deformities represented a serious postoperative complication. This occurred in 13 patients and was first recognized between 8 and 90 months postoperatively. Six deformities occurred following cervical laminectomy, and eight patients required at least one orthopedic procedure. It is crucial to follow these patients for an extended period of time to watch for postoperative spinal deformities.

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Clinicohematological Study of Thrombocytosis in Children

ISRN Hematology ◽

10.1155/2014/389257 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4 ◽

Cited By ~ 9

Author(s):

Nathiya Subramaniam ◽

Suneel Mundkur ◽

Pushpa Kini ◽

Nalini Bhaskaranand ◽

Shrikiran Aroor

Keyword(s):

Platelet Count ◽

Myeloid Leukemia ◽

Prospective Observational Study ◽

Myelogenous Leukemia ◽

Distribution Width ◽

Female Ratio ◽

Reactive Thrombocytosis ◽

Acute Myelogenous ◽

Male To Female ◽

Primary Thrombocytosis

Introduction. Primary thrombocytosis is very rare in children; reactive thrombocytosis is frequently observed in children with infections, anemia, and many other causes. Aims and Objectives. To identify the etiology of thrombocytosis in children and to analyze platelet indices (MPV, PDW, and PCT) in children with thrombocytosis. Study Design. A prospective observational study. Material and Methods. A total of 1000 patients with thrombocytosis (platelet > 400×109/L) were studied over a period of 2 years. Platelet distribution width (PDW), mean platelet volume (MPV), and plateletcrit (PCT) were noted. Results. Of 1000 patients, 99.8% had secondary thrombocytosis and only two children had primary thrombocytosis (chronic myeloid leukemia and acute myelogenous leukemia, M7). The majority of the children belonged to the age group of 1month to 2 years (39.7%) and male to female ratio was 1.6 : 1. Infection with anemia (48.3%) was the most common cause of secondary thrombocytosis followed by iron deficiency alone (17.2%) and infection alone (16.2%). Respiratory infection (28.3%) was the predominant infectious cause observed. Thrombocytosis was commonly associated with IDA among all causes of anemia and severity of thrombocytosis increased with severity of anemia (P=0.021). With increasing platelet count, there was a decrease in MPV (<0.001). Platelet count and mean PDW among children with infection and anemia were significantly higher than those among children with infection alone and anemia alone. None were observed to have thromboembolic manifestations. Conclusions. Primary thrombocytosis is extremely rare in children than secondary thrombocytosis. Infections in association with anemia are most commonly associated with reactive thrombocytosis and severity of thrombocytosis increases with severity of anemia.

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